Organization · Type 2 NPI
DHHS Ihs Phoenix Area
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy · Polacca, AZ
Practice location
Hwy 264 Mile Marker 388
Polacca, AZ 86042
Fax (928) 737-6332
Mailing address
PO Box 31001-0704
Pasadena, CA 91110-0704
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy Primary | 332800000X | None listed |
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy: An Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy means a pharmacy operated by the Indian Health Service, an Indian tribe or tribal organization, or an urban Indian organization, all of which are defined in Section 4 of the Indian Health Care Improvement Act, 25 U.S.C. 1603.
Another provider at this address
About NPI 1376678946
DHHS Ihs Phoenix Area's National Provider Identifier is 1376678946, issued on Feb 22, 2007. The primary taxonomy on file is Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy (332800000X), and the practice location is in Polacca, AZ. The record was last updated on Oct 12, 2016.